Willard S. Stawski M.D.

NPI 1053406702 - Surgery - 208600000X

NPI Details
NPI 1053406702
Gender Male
Enumeration Date 10/04/2006
Last Updated 11/26/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1900 WEALTHY ST SE
SUITE 180
GRAND RAPIDS MI, 49506-2969, US
Phone (616) 458-1200
Fax (616) 459-0199
Business Location
100 MICHIGAN ST NE
MC845
GRAND RAPIDS MI, 49503-2560, US
Phone
Fax
Toxanomy
Taxonomy Code 208600000X
License State Michigan
License Number 027731
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According to our database, Dr. Willard S. Stawski M.D. NPI is 1053406702, taxonomy code is 208600000X and license number is 027731, license state is located at Michigan. Willard S. Stawski M.D. physically located at 1900 Wealthy St Se, Grand Rapids MI, 49506-2969. NPI Number Willard S. Stawski M.D. has the Individual type.

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1053406702 NPI number is provided on an as is basis without warranty of any kind. 1053406702 is maintained by the National Plan & Provider Enumeration System. The contents of Willard S. Stawski M.D. are for informational purposes only.